Kianor Shahmohammadi DMD

NPI 1184747362 - Dentist - 1223G0001X

NPI Details
NPI 1184747362
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
135 S SYCAMORE ST
CENTRALIA IL, 62801-3525, US
Phone (618) 532-1411
Fax (618) 532-1496
Business Location
135 S SYCAMORE ST
CENTRALIA IL, 62801-3525, US
Phone (618) 532-1411
Fax (618) 532-1496
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Mr. Kianor Shahmohammadi DMD NPI is 1184747362, taxonomy code is 1223G0001X Kianor Shahmohammadi DMD physically located at 135 S Sycamore St, Centralia IL, 62801-3525. NPI Number Kianor Shahmohammadi DMD has the Individual type.

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1184747362 NPI number is provided on an as is basis without warranty of any kind. 1184747362 is maintained by the National Plan & Provider Enumeration System. The contents of Kianor Shahmohammadi DMD are for informational purposes only.